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  5. NDC Package Code: 0121-1762-30 Mag-al Plus XS

NDC Package 0121-1762-30 Mag-al Plus XS

Aluminum Hydroxide,Magnesium Hydroxide,And Dimethicone Suspension Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0121-1762-30
Package Description:
10 TRAY in 1 CASE / 10 CUP, UNIT-DOSE in 1 TRAY / 30 mL in 1 CUP, UNIT-DOSE
Product Code:
0121-1762
Proprietary Name:
Mag-al Plus XS
Non-Proprietary Name:
Aluminum Hydroxide, Magnesium Hydroxide, And Dimethicone
Substance Name:
Aluminum Hydroxide; Dimethicone; Magnesium Hydroxide
Usage Information:
As an antacid for symptomatic relief of hyperacidity associated with the diagnosis of peptic ulcer, gastritis, peptic esophagitis, gastric hyperacidity, or hiatal hernia. As an antiflatulent to alleviate the symptoms of gas, including postoperative gas pain.
11-Digit NDC Billing Format:
00121176230
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 237870 - aluminum hydroxide 400 MG / magnesium hydroxide 400 MG / simethicone 40 MG in 5 mL Oral Suspension
  • RxCUI: 237870 - aluminum hydroxide 80 MG/ML / magnesium hydroxide 80 MG/ML / simethicone 8 MG/ML Oral Suspension
  • RxCUI: 237870 - aluminum hydroxide 2400 MG / magnesium hydroxide 2400 MG / dimethicone 240 MG per 30 ML Oral Suspension
  • RxCUI: 237870 - aluminum hydroxide 400 MG / magnesium hydroxide 400 MG / simethicone 40 MG per 5 ML Oral Suspension
  • RxCUI: 237870 - aluminum hydroxide 800 MG / magnesium hydroxide 800 MG / dimethicone 80 MG per 10 ML Oral Suspension
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Pai Holdings, Llc
    Dosage Form:
    Suspension - A liquid1 dosage form that contains solid particles dispersed in a liquid vehicle.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • ALUMINUM HYDROXIDE 400 mg/5mL
  • DIMETHICONE 40 mg/5mL
  • MAGNESIUM HYDROXIDE 400 mg/5mL
    • Pharmacologic Class(es):
  • Calculi Dissolution Agent - [EPC] (Established Pharmacologic Class)
  • Increased Large Intestinal Motility - [PE] (Physiologic Effect)
  • Inhibition Large Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
  • Inhibition Small Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
  • Magnesium Ion Exchange Activity - [MoA] (Mechanism of Action)
  • Osmotic Activity - [MoA] (Mechanism of Action)
  • Osmotic Laxative - [EPC] (Established Pharmacologic Class)
  • Skin Barrier Activity - [PE] (Physiologic Effect)
  • Stimulation Large Intestine Fluid/Electrolyte Secretion - [PE] (Physiologic Effect)
    • Sample Package:
    No
    FDA Application Number:
    M002
    Marketing Category:
    OTC MONOGRAPH DRUG -
    Start Marketing Date:
    01-14-2004
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0121-1762-30?

    The NDC Packaged Code 0121-1762-30 is assigned to a package of 10 tray in 1 case / 10 cup, unit-dose in 1 tray / 30 ml in 1 cup, unit-dose of Mag-al Plus XS, a human over the counter drug labeled by Pai Holdings, Llc. The product's dosage form is suspension and is administered via oral form.

    Is NDC 0121-1762 included in the NDC Directory?

    Yes, Mag-al Plus XS with product code 0121-1762 is active and included in the NDC Directory. The product was first marketed by Pai Holdings, Llc on January 14, 2004 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0121-1762-30?

    The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.

    What is the 11-digit format for NDC 0121-1762-30?

    The 11-digit format is 00121176230. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20121-1762-305-4-200121-1762-30